24811_CRISCO, KEITH_20000229

�CAMA and DREDGE AND FILL
� G E N E R A L � 24811 �
PFRMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Arlrl rpcc
Citv
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
Zip
(SCALE: )
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

PAMLICO COUNTY BUILDING INSPECTIONS
P.O. BOX 776
BAYBORO, NC 28515
(252) 745 -3861
ADIACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN#
I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO MR. KEITH CRISCO
NAME OF LANDOWNER PROPOSING DEVELOPMENT
ON NEUSE RIVER IN/ NEAR ORIENTAL LOT #
COMMUNITY SUBDIVISION, IF APPLICABLE
TAX PARCEL # 3082-435
COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY 600 SOUTH AVENUE
THIS PROPOSED PROJECT, REFURBISH 135' OF STONE REVETMENT
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN ACCESS.
I DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT
1 ............................ 0 ............. ■ ■ .............. f .............. ■ .
DRAW THE PROPOSED STRUCTURE IN THE SPACE PROVIDED BELOW. LIST THE SIZE OF THE STRUCTURE AND
MEASURE DISTANCES FROM THE ADJACENT PROPERTY LINES, OTHER STRUCTURES ON THE PROPERTY, AND THE
ROAD, WATER, ETC.
After this form is completed by the landowner proposing the project, a copy is given to the adjacent landowners for their
consent and signature. The forms are then returned, along with a building plan and other applicable required information,
to the building inspection office for building permit application/processing.
SIGNATURE DATE — U
PRINTED NAME V� �:� TT CA rL E rL
To W Pi' A\ /� Nf /�G1-C-7
T o w V c) i� N TA- L